tv On the Money CNBC November 9, 2019 5:30am-6:00am EST
coupled with doctor retirements and a lack of available residency slots for those graduating medical school are pressuring the system. experts say team based care, smarter technology deployment and increase in federal funding for residency programs would help to ease the shortage. >> the challenge of having enough residency positions really comes down to having enough resources to support training and teaching hospitals across the country in communities big and small. >> he is a first year resident at the health hospital system in phoenix that added two new residency programs to attract physicians to train in the state. >> arizona currently has a shortage of 600 primary care physicians so the hope is that doctors will stay in the state to help fill that gap once their training is complete it's our belief that it will
help by providing an educational environment as well as by teaching them for future endeavors in life we will be able to retain them in this community to serve our growing population. >> arizona is doing more than just adding residency slots to tackle the issue the governor recently signed a universal licensing recognition law to help those with without of state licenses gain similar licensing in arizona. >> we have more jobs available in arizona today than we have people to fill them. we do think in terms of the doctor shortage this is a tool in the tool box. >> he says the best part of this phase of training is getting to help patients, including the older population that first inspired him. >> most of our patients get better and are able to leave here better than when they came in. >> improving lives and launching a medical career where he is
needed so is there a remedy for the doctor drought or will it get worse. susan, thank you for being here today. >> it's an honor to be here. >> so your company takes and connects hospitals and clinics with doctors looking for jobs. do you see a shortage? >> we do the shortage is severe today and it's going to be getting considerably worse and it's not just with physicians it's really across the board it's nurses, alabama lice, professionals, advanced practice and it's not justrural areas a lot of people think it's in those more remote rural communities but more and more there's 100,000 people or more it's across the board in all categories in specialties as well as primary care. >> what's causing the shortage what do you think? >> at the front end there's a problem with training and not having enough residency programs it can take 10 to 15 years
back in 1996, congress put a cap on the number of residency programs but the problem is that we're paying for it today by not having enough new physicians come through the education program as well as residency and it's going to get much worse over time. they kept it because they didn't want more federal dollars going toward this. >> that gap of 122,000 physicians that will be short by 2032 that's going to cost well into the billions it's going to try to maintain a health care budget that's already strained at the same time we talk a lot about access to care and that's constrained by not having enough clinicians and physicians to serve them you look at that 122,000 gap 77,000 are in specialty.
so it might be oncology, urol y urology, all of the areas becoming more and more critical as the population ages even in a populated area like this you can wait months to try to see it. >> the access to care have been getting far more difficult, in fact, we do a study through our group about every three years and we saw wait times go up 30%. we will actually feel the effects of the shortage is access and wait times and there's also things that can be done about it. so utilization of telehealth is certainly being utilized today and it's going to need to be more prevalent. >> we've seen a lot of positive change certainly more training of clinicians and physicians. more adoption by health care
systems and patients themselves. it's going to be absolutely critical in order to be sure that we have access to care in those particularly remote areas where it's just going to be impossible >> what happens if we do adopt medicare for all or health care for all. what happens in terms of the supply and demand picture? >> if we see the access to increase it's going to make that shortage that much more difficult to manage. also physicians themselves will feel that pain they are having difficulty managing the patients they have today. the average patient visit is about 7 minutes. it's what they want.
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cash to make that happen he is the former kick starter ceo. today he has new ideas about money in his book that's called this could be our future a manifesto for a more generous world. thanks for being here. it's good to see you. >> thank you so much. >> you are somebody that's been an entrepreneur that's created jobs and created a company but you're saying we shouldn't be looking at profit as the only motivation here. >> obviously the profit of the business is its life blood allows us to continue to live and sustain itself which is important but if businesses are focused solely on squeezing as much as they can out there's a lot of secondary costs that happen. >> such as. >> such as employees not getting raises employees struggling in their personal lives missing the opportunities in the market of creating more meaning around their product if you're only trying to focus on maximizing the financial outcome there's other things that you lose out on. with kick starter we tried to balance that by becoming a
public benefit corporation where we're legally required to balance our obligations to shareholders by producing a positive benefit to society. it's your financial mission and non-financial mission need to be on a level playing field. >> i'd argue that good corporations have been doing this softer form of capitalism for a long time. they care about their employees because in the end happy employees lead to higher profits and happier customers. it's the good cycle that takes place. why did you think you had to do it in this different way and say we're going to create a different company? >> when you just describe it it seems so normal. >> take care of everybody and makes everybody happy and they're willing to spend more. >> we were always very addiment about this being our goal but our lawyer at the time and other people would remind us that it's classic, if you're actually legally expected to just maximize value per shareholder so that the things that you're saying and policies you're pushing could make us liable for
a lawsuit from a shareholder to say you're not maximizing value. >> you're taking care of your employees. >> it can be interpreted in different ways if i'm not into short-termism and i don't care about what happens this week, this month, this quarter if i'm looking over the longer term, it is in your responsibility to take care of them and good companies have been doing that for a long time. >> it is what the best companies do it's incorporating those not just as secondary decisions but as core decisions. businesses prosper as a result of that but it's something that it's hard -- when you're having a debate in the board room or executive room where there's a financial outcome or non-financial you get in this place where the financial place is rational and everything else is emotional you really only choose the soft option in a crisis everything else you're like we'll choose the financial option because it's the only thing that we can process and make sense of.
to me in a pbc model they run a level playing field and they both have a seat at the table and what i'm arguing in the book is that we should view those things as being equal as well and right now we want that, we can feel it's right but we struggle to do it on a day-to-day basis. >> thank you for being with us today. >> thanks for having me. >> the book is called this could be our future. a man f a manifesto for a more generous world. >> hiring our heros. why one former marine corps officer is on a mission to hire vets. >> he has a take on life but his new book takes a unique look at the lives of some of those that have left us the gillette skinguard has a guard between the blades that helps protect skin. the gillette skinguard.
...before she puts them in the dishwasher. so what does the dishwasher do? cascade platinum does the work for you, prewashing and removing stuck-on foods, the first time. wow, that's clean! cascade platinum. >> i'm not your charity case. >> i am not your excuse to buy a new dress for the annual fundraiser. >> i am not the poster child for your big donation. >> i am out of debts and in my own home. >> i am off opioids. >> i'm graduating on time and on my way to a great job. >> i am. >> we are. >> what it means to live united.
>> for those that have served transitioning back to civilian life and work can be tough she served eight years in the marine corps she's the chief operating officer of neighboring thank you forring wi being here. good to see you. >> my pleasure. >> what was that transition like for you? why do you think being in the business of franchise it is a good fit >> well, i'll start with i jumped out of airplanes in the
military and it was scarier the first day that i left the marine corps than it was jumping out of an airplane. >> why >> you don't know what you're going to do next and i remember driving around with my husband saying i don't know what all of these civilians do and you're trying to find your next passion and most veterans have a heart for serving others and service and duty to the country and they want to be able to do that in the next life as well. >> why do you think franchising came in. >> they have systems and they're looking for people that understand leadership and understand discipline and will be committed to following the system i heard someone say once they would be able to take a bullet for my previous employer for me i knew i wanted to control my own destiny i wanted to belong to something
bigger than myself and franchising gave me those systems so i could step in on them and people would ask me why are you so successful? mostly because i'm just following the system. >> what advice would you give to veterans that are transitioning now? making that step and stepping out. looking to start a new chapter in their life. what would you tell them >> each year 200,000 people or military service people transitioned out and what i would say to them is first, take a little bit of time and know where your heart is. understand what is important to you. first at neighborly brands we have a set of values we call living rich with respect, integrity, customer focus and having fun in the process which is the most important one and it was important to me to find those values and be matched on the value. so first of all your heart and then use your head and do your homework and make sure that you know what kind of company you're joining and if you're going to be a franchisee talk to fellow
franchisees in that system. >> your dad was also in the military you said he was your true hero what about him made him your hero >> he served 30 years in the united states army and served in vietnam and came back to a pretty unfriendly nation which we don't do anymore and i appreciate he had three bronze stars with valor and what made him a hero to me is he spent a lot of time mentoring and growing people around him to be strong leaders. he would tell me, fill your head with information and knowledge and fill your heart with people and experiences, and if you do that, that will create a good gut that you can make good decisions from. >> i want to thank you and all of the veterans who have served our country. >> thank you. >> we appreciate it and we appreciate your time here today. thank you. >> up next on the money, a look at the news for the week ahead and obituaries don't have to be morbid in his podcast and new book he uncovers unique stories of lives well lived
thursday is world diabetes day. bringing awareness to the disease and the efforts to find a cure on friday, we'll see how consumers are doing with the retail sales report. we'll also get a read on manufacturing with the industrial production report for the month of october we end today with mobituary. they provide an opportunity to learn the story of a life. he has compiled unique and overlooked obituarys in his podcast. thank you for being here. >> thank you for being here it does feel like a movie trailer for the oscar winning
biostick. >> you chronicled a lot of different well-known characters but you felt their stories weren't properly told. herbert hoover comes to mind >> the 90th anniversary of the stock market crash that forever connected herbert hoover with the great depression and the second worst thing to happen to this country after the civil war. but herbert hoover, before he became president, was the great humanitarian that was his moniker in world war i he was responsible for bringing over 100,000 americans home safely and as a private citizen but operating as a one-man state department in an unofficial capacity he managed to bring food to about 10 million northern europeans in danger of starving and then as secretary of commerce not a sexy cabinet post, sorry, he was responsible for --
>> thanks. >> well okay but wilbur ross i'm sure would be impressed that herbert hoover standardized so much of american life just one thing that the three colored traffic signals, they weren't standardized in the united states before herbert hoover. >> really? they could be red on the top or the bottom and if you're color blind you're in trouble. >> and different colors made different things and people crashing into each other until herbert hoover came along. once he was in the white house and the market crashed, people forgot everything that had come before >> not just people that you go back and write obituary on but also things. i think my two favorites are station wagon and disco about the death of these things and what happened in their life span. >> the station wagon was the family car. >> i have so many good memories of about that. >> and did you ride in the way back. >> in the way back with the death trap seats that came up like this that slammed down with metal. i can't believe my parents put us in there. >> isn't that crazy. and there were seat belts but you could never find them and
whenever i was in them and love when they made a wide turn and fun slammed against the side. >> with six siblings and cousins along the way. >> i'd been at a pizza party afterwards that was fun. and the station wagon is as old as the car itself. this is the back story that i love the reason it is called a station wagon is because the early station wagons were just wood boxes put on the chassis of old model t's and were used to transport people from train stations to resort hotels and that is how it got the name station wagon. >> and what about your disco factoid. >> everybody blamed the death of disco on disco demolition at comiskey park and there was a big bon fire and it was an ugly incident even seen that way at the time but disco had already been to corrupt itself and had gotten bad. >> it was -- staky. >> and i love broadway and ethel merman and by the time we got to
the disco album, just because demolition night was the chief assassin of disco be ethel merman was the second gunman. >> point made. mo, it is a fascinating book, "mobituary" and i have to say i love the feel. it is a good gift if you are looking for somebody else to give it to. >> thank you very much that is the show for today i'm becky quick. thank you so much for joining us next week, planning a holiday budget how to make sure that you don't overspend this year. each week keep it right here we're "on the money. have a great week and we'll see you next weekend robinhood believes now is the time to do money. without the commission fees. so, you can start investing today wherever you are - even hanging with your dog. so, what are you waiting for? download now and get your first stock on us. robinhood.
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happy friday "options action," fans we have a big show on deck here is what's coming up >> announcer: coming up tonight. >> mysteriously, the consumer discretionary sector has been failing to keep up with the broader market rally carter worth could solve the mystery. if it wasn't for you darn kids then. >> tilting sensation. >> no, not tilt. tlt, as in bonds and that strange sensation, that's dan nathan's bullish call he'll explain. plus --